<HTML>
<HEAD>
<TITLE>Mon titre</TITLE>
<META NAME="keywords" CONTENT="html, srcipts, page web,">
<META NAME="Version" CONTENT="1.a">
<META NAME="Date" CONTENT="1/5/2000">
<META NAME="description" CONTENT="Les mots clés, pour une recherche ...">
<META NAME="Author" CONTENT="Moi même">
</HEAD>
<! ceci est un commentaire>
<BODY bgcolor="#FFFFCC" link="#0000ff" text="black" vLink=#800080>
<p align="center"><font face="Times New Roman, Times, serif" size="4" color="red"><b>Questionnaire</b></font></p>
<hr>
<form method="post" action="http://perso0.free.fr/cgi-bin/form2mail.pl" name="questionnaire">
<p align="center"><font face="Times New Roman, Times, serif" size="4" color="black">Nom</font>
<input type="text" name="Nom">
<font face="Times New Roman, Times, serif" size="4" color="black"> Prénom</font>
<input type="text" name="Prenom">
<font face="Times New Roman, Times, serif" size="4" color="black">e-mail</font>
<input type="text" name="mail">
</p>
<p align="center"><font face="Times New Roman, Times, serif" size="4" color="black">Vos
remarques & questions</font><BR>
<textarea name="remarques" cols="90" rows="10"></textarea>
</p>
<p align="center">
<input type="submit" name="submit2" value="Envoyer">
</p>
<hr>
</form>
</BODY>
</HTML>